Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia

Andemariyam Yohannes; Teshome Gobana; Fitsum Araya; Nigusse Obse

doi:doi:10.11648/j.jgo.20160406.13

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Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia

Andemariyam Yohannes, Teshome Gobana, Fitsum Araya, Nigusse Obse

Published in Journal of Gynecology and Obstetrics (Volume 4, Issue 6)

Received: 22 September 2016 Accepted: 26 October 2016 Published: 8 December 2016

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Abstract

In Ethiopia, the levels of maternal and infant mortality and morbidity are among the highest in the world. Community based studies about safe delivery service utilization are not enough. As per the few studies done, professional assisted delivery is low in the country and particularly in Tigray region where the study was conducted. Community based cross sectional both quantitative and qualitative study were conducted in subworeda Egela, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age. The data for the quantitative method was collected using a pretested structured questionnaire on a sample of 380 mothers. The qualitative data were collected by FGDs with mothers of childbearing age, with the administrative bodies in the Subworeda and health professionals. The data were entered and analyzed using SPSS 16.0 and the appropriate statistical methods was used in the presentation, test of significant associations of variables at CI of 95%. The study revealed that 10.3% of the women deliver in health institution. 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables s, obstetric factors, ANC attendance, TT vaccination & distance of health institution, were significantly associated with institutional delivery. In general this study revealed that the proportion of births delivered in the health institutions were unsatisfactory. The socio-demographic, obstetric and health service factors like distance of health institution were determinant factors. Therefore, establishing centers for emergency obstetric care other than the health center in accessible areas, providing health education for women of childbearing age by focusing on the Multi-para are the possible solutions should be recommended.

Published in	Journal of Gynecology and Obstetrics (Volume 4, Issue 6)
DOI	10.11648/j.jgo.20160406.13
Page(s)	44-52
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Safe Delivery, Maternal and Infant Mortality and Morbidity, Professional Assisted Delivery, Women of ChildBearing Age

References

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[4]	Mekonnen Y. Patterns of maternity care service utilization in Southern Ethiopia: Evidence from a community and family survey. Ethiop. J. Health Dev. 2003; 17 (1): 27-33.
[5]	Dagne E. Role of socio-demographic factors on utilization of maternal health care services in Ethiopia. 2010.
[6]	Tigray Regional Health Bureau (TRHB). Health management information system. Tigray health Bureau 2004 profile. Tigray health Bureau, Mekelle, 2005.
[7]	Amira Y N. Making skilled attendance at child in Tigray region, Ethiopia possible.
[8]	United Nations (UN). The Millennium Development Goals Report. New York, 2008.
[9]	Mekonnen, Y, Mekonnen A. Utilization of Maternal Health Care Services in Ethiopia. 2002; Calverton, Maryland, USA: ORC Macro.
[10]	Central Statistical Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro.
[11]	Federal Democratic Republic of Ethiopia Ministry of Health. Health and health related indicator. 2006/2007.
[12]	Tura G, G/Mariam A. Safe Delivery Service Utilization in Metekel Zone, North West Ethiopia. Ethiopian J Health Sci. March 2008; 17 (4): 213-221.
[13]	Ethiopian Society of Population Studies. Maternal Health Care Seeking Behavior in Ethiopia: In-depth Analysis of the Ethiopian Demographic and Health Survey 2005, Addis Ababa Oct, 2008, 14-15.
[14]	Nigussie M, Mitike G. Assessment of safe delivery service utilization among women of childbearing age in north Gondar Zone, North West Ethiopia. Ethiop J Health Dev. 200; 18 (3): 145-152.
[15]	Addai I. Demographic and socio-cultural factors influencing use of maternal health services in Ghana. Afr J Reprod Health. 1998; Apr 2 (1): 73-80.
[16]	Sari K. Socio-Economic and Demographic Determinants of Maternal Health Care Utilization in Indonesia. Faculty of Social Sciences, the Flinders University of South Australia, 2009.
[17]	T. T. Awoyemi, O. A. Obayelu and H. I. Opaluwa. Effect of Distance on Utilization of Health Care Services in Rural Kogi State, Nigeria. J Hum Ecol, 2011; 35 (1): 1-9.
[18]	Abbas AA, Walker GJ. Determinants of the utilization of maternal and child health services in Jordan. Int J Epidemiol. 1986 Sep; 15 (3): 404-7.
[19]	Sauerborn R, Nougtara A, Diesfeld HJ. Low utilization of community health workers: results from a household interview survey in Burkina Faso. Soc Sci Med. 1989; 29 (10): 1163-74.

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APA Style

Andemariyam Yohannes, Teshome Gobana, Fitsum Araya, Nigusse Obse. (2016). Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Journal of Gynecology and Obstetrics, 4(6), 44-52. https://doi.org/10.11648/j.jgo.20160406.13

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ACS Style

Andemariyam Yohannes; Teshome Gobana; Fitsum Araya; Nigusse Obse. Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. J. Gynecol. Obstet. 2016, 4(6), 44-52. doi: 10.11648/j.jgo.20160406.13

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AMA Style

Andemariyam Yohannes, Teshome Gobana, Fitsum Araya, Nigusse Obse. Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. J Gynecol Obstet. 2016;4(6):44-52. doi: 10.11648/j.jgo.20160406.13

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@article{10.11648/j.jgo.20160406.13,
  author = {Andemariyam Yohannes and Teshome Gobana and Fitsum Araya and Nigusse Obse},
  title = {Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {4},
  number = {6},
  pages = {44-52},
  doi = {10.11648/j.jgo.20160406.13},
  url = {https://doi.org/10.11648/j.jgo.20160406.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20160406.13},
  abstract = {In Ethiopia, the levels of maternal and infant mortality and morbidity are among the highest in the world. Community based studies about safe delivery service utilization are not enough. As per the few studies done, professional assisted delivery is low in the country and particularly in Tigray region where the study was conducted. Community based cross sectional both quantitative and qualitative study were conducted in subworeda Egela, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age. The data for the quantitative method was collected using a pretested structured questionnaire on a sample of 380 mothers. The qualitative data were collected by FGDs with mothers of childbearing age, with the administrative bodies in the Subworeda and health professionals. The data were entered and analyzed using SPSS 16.0 and the appropriate statistical methods was used in the presentation, test of significant associations of variables at CI of 95%. The study revealed that 10.3% of the women deliver in health institution. 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables s, obstetric factors, ANC attendance, TT vaccination & distance of health institution, were significantly associated with institutional delivery. In general this study revealed that the proportion of births delivered in the health institutions were unsatisfactory. The socio-demographic, obstetric and health service factors like distance of health institution were determinant factors. Therefore, establishing centers for emergency obstetric care other than the health center in accessible areas, providing health education for women of childbearing age by focusing on the Multi-para are the possible solutions should be recommended.},
 year = {2016}
}

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TY - JOUR
T1 - Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia
AU - Andemariyam Yohannes
AU - Teshome Gobana
AU - Fitsum Araya
AU - Nigusse Obse
Y1 - 2016/12/08
PY - 2016
N1 - https://doi.org/10.11648/j.jgo.20160406.13
DO - 10.11648/j.jgo.20160406.13
T2 - Journal of Gynecology and Obstetrics
JF - Journal of Gynecology and Obstetrics
JO - Journal of Gynecology and Obstetrics
SP - 44
EP - 52
PB - Science Publishing Group
SN - 2376-7820
UR - https://doi.org/10.11648/j.jgo.20160406.13
AB - In Ethiopia, the levels of maternal and infant mortality and morbidity are among the highest in the world. Community based studies about safe delivery service utilization are not enough. As per the few studies done, professional assisted delivery is low in the country and particularly in Tigray region where the study was conducted. Community based cross sectional both quantitative and qualitative study were conducted in subworeda Egela, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age. The data for the quantitative method was collected using a pretested structured questionnaire on a sample of 380 mothers. The qualitative data were collected by FGDs with mothers of childbearing age, with the administrative bodies in the Subworeda and health professionals. The data were entered and analyzed using SPSS 16.0 and the appropriate statistical methods was used in the presentation, test of significant associations of variables at CI of 95%. The study revealed that 10.3% of the women deliver in health institution. 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables s, obstetric factors, ANC attendance, TT vaccination & distance of health institution, were significantly associated with institutional delivery. In general this study revealed that the proportion of births delivered in the health institutions were unsatisfactory. The socio-demographic, obstetric and health service factors like distance of health institution were determinant factors. Therefore, establishing centers for emergency obstetric care other than the health center in accessible areas, providing health education for women of childbearing age by focusing on the Multi-para are the possible solutions should be recommended.
VL - 4
IS - 6
ER -

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Author Information

Andemariyam Yohannes

Department of Biomedical Sciences, College of Health Sciences, Samara University, Samara, Ethiopia
Teshome Gobana

Department of Biomedical Sciences, College of Health Sciences, Jimma University, Jimma, Ethiopia
Fitsum Araya

Department of Gynecology & Obstetrics, College of Health Sciences, Jimma University, Jimma, Ethiopia
Nigusse Obse

Department of Biomedical Sciences, Adama Hospital Medical College, Adama, Ethiopia

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APA Style

Andemariyam Yohannes, Teshome Gobana, Fitsum Araya, Nigusse Obse. (2016). Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Journal of Gynecology and Obstetrics, 4(6), 44-52. https://doi.org/10.11648/j.jgo.20160406.13

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ACS Style

Andemariyam Yohannes; Teshome Gobana; Fitsum Araya; Nigusse Obse. Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. J. Gynecol. Obstet. 2016, 4(6), 44-52. doi: 10.11648/j.jgo.20160406.13

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AMA Style

Andemariyam Yohannes, Teshome Gobana, Fitsum Araya, Nigusse Obse. Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. J Gynecol Obstet. 2016;4(6):44-52. doi: 10.11648/j.jgo.20160406.13

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@article{10.11648/j.jgo.20160406.13,
  author = {Andemariyam Yohannes and Teshome Gobana and Fitsum Araya and Nigusse Obse},
  title = {Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {4},
  number = {6},
  pages = {44-52},
  doi = {10.11648/j.jgo.20160406.13},
  url = {https://doi.org/10.11648/j.jgo.20160406.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20160406.13},
  abstract = {In Ethiopia, the levels of maternal and infant mortality and morbidity are among the highest in the world. Community based studies about safe delivery service utilization are not enough. As per the few studies done, professional assisted delivery is low in the country and particularly in Tigray region where the study was conducted. Community based cross sectional both quantitative and qualitative study were conducted in subworeda Egela, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age. The data for the quantitative method was collected using a pretested structured questionnaire on a sample of 380 mothers. The qualitative data were collected by FGDs with mothers of childbearing age, with the administrative bodies in the Subworeda and health professionals. The data were entered and analyzed using SPSS 16.0 and the appropriate statistical methods was used in the presentation, test of significant associations of variables at CI of 95%. The study revealed that 10.3% of the women deliver in health institution. 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables s, obstetric factors, ANC attendance, TT vaccination & distance of health institution, were significantly associated with institutional delivery. In general this study revealed that the proportion of births delivered in the health institutions were unsatisfactory. The socio-demographic, obstetric and health service factors like distance of health institution were determinant factors. Therefore, establishing centers for emergency obstetric care other than the health center in accessible areas, providing health education for women of childbearing age by focusing on the Multi-para are the possible solutions should be recommended.},
 year = {2016}
}

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